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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 2013 June;172(6):535-40
Auricular rehabilitation with episthesis fixed by bone-anchored titanium implants
Mevio E., Mullace M., Artesi L., Mevio N.
Unità Operativa di Otorinolaringoiatria Ospedale Fornaroli, Magenta, Milano, Italia
Different surgical solutions were proposed for the reconstruction of the auricle after amputation due to tumour, trauma or correlated to congenital defects: a surgical reconstruction based on the insertion of autogenous rib cartilage framework or a porous polymer material inserted in a expanded postauricolar flap. Reconstruction with rib cartilage brought good results, but requires more than one surgical step and adverse events may envolve both donor and receiving site. The insertion in an expanded postauricolar flap of a polymeric prosthesis was proposed but were described cases of prosthesis rejection. Recently it has been proposed the use of titanium dowel retained pinna silicone prosthesis, fixed to temporal bone. This surgical technique is indicated particularly in case of pinna resection due to tumour or in case of traumatic auricular scar. We report the case of a young patient who had a traumatic amputation of the left pinna, due to a road accident. The patient underwent auricular rehabilitation with bone anchored titanium implants. The episthesis has been designed and shaped for the profile and patient skin colour (method VistaFix). Bone anchored episthesis is an excellent alternative to plastic reconstructive surgery. The method also allows excellent cosmetic results in a relatively short time and almost without adverse effect.